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- W2356553840 abstract "Objective To compare the influence of hypotensive epidural anesthesia(HEA) and hypotensive total intravenous anesthesia(HTIVA) with propofol and remifentanil on blood loss during primary total hip replacement.Methods Forty patients with ASA physical status Ⅰ,Ⅱ and Ⅲ undergoing primary total hip replacement were performed the clinical study.The patients received either HEA(HEA group,n=20) or HTIVA(HTIVA group,n=20) to maintain mean arterial pressure 50-60 mm Hg.Duration of hypotension,blood loss,blood transfusion and hemodynamic parameters were recorded in both groups.Results Intraoperative blood loss,percentage of receiving blood substitution and total packed red blood cells transfused in the HEA group were less than those in the HTIVA group(P0.01,P0.05 and P0.05,respectively).Mean intraoperative central venous pressure was lower in the HEA group than in the HTIVA group(P0.05).The postoperative neurologic examinations of all cases showed unimpaired.Conclusion In spite the similar mean intraoperative arterial pressure levels noted between groups,HEA results in less intraoperative blood loss than HTIVA during primary total hip replacement,which could be related with non-positive pressure ventilation,redistribution of blood flow and lower mean intraoperative central venous pressure in the HEA group." @default.
- W2356553840 created "2016-06-24" @default.
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- W2356553840 date "2012-01-01" @default.
- W2356553840 modified "2023-09-23" @default.
- W2356553840 title "Comparison of hypotensive epidural anesthesia and hypotensive total intravenous anesthesia on intraoperative blood loss during total hip replacement" @default.
- W2356553840 hasPublicationYear "2012" @default.
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